prepu – Flashcard
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When assessing a client's strength, it is necessary to
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Compare one side to the other
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Mrs. Fletcher presents to the office with chronic unilateral pain when chewing. She does not have facial or scalp tenderness. Which of the following is the most likely cause of her pain?
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Temporomandibular joint syndrome
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A nurse is testing the range of motion of a client's wrist for supination. Which movement will this involve?
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Turning the palm of the hand upward
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A nurse is inspecting a client's gait. Which of the following would indicate an abnormal finding?
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Toes point out
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A nurse is preparing a program on osteoporosis for a local women's group. What would the nurse cite as a risk factor?
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History of smoking
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The nurse is testing the client for extension of the wrist and notes weakness on the right side. This assessment finding is consistent with what disease of the nervous system?
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Multiple sclerosis
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Articulation between the head of the femur and the acetabulum is in the
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hip joint.
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The nurse is assessing the spine of an adult client and detects lateral curvature of the thoracic spine with an increase in convexity on the left curved side. The nurse suspects that the client is experiencing
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scoliosis.
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A client has osteoarthritis of the elbow. Which assessment approach should the nurse expect to be impacted by this health problem?
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flexion
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A client is unable to externally rotate the left shoulder. What health problem should the nurse suspect is occurring with this client?
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rotator cuff tear
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Increased lumbar curvature, which compensates for the enlarging uterus in pregnant women, is called what?
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Lordosis
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Assessment of the musculoskeletal system usually proceeds from general to specific and from?
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Head to toe
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The nurse is testing a client for carpal tunnel syndrome. The client flexes the wrists at an angle of 90° and holds the backs of the hands to each other for 60 seconds. The client tells the nurse that he is experiencing a burning pain as a result. Which test is the nurse performing on this patient?
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Phalen's
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A client presents to the health care clinic with reports of pain in the hands and right wrist. Additional history reveals that the client is a factory worker who spends all day performing the same repetitive task. The nurse performs Phalen's test and Tinel's test with positive results. The hand grips are unequal, with the right weaker than the left. What nursing diagnosis can the nurse confirm from this data?
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Impaired Physical Mobility
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Assessment reveals that an older adult client has osteomalacia. What would be most important to include in the client's teaching plan?
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Practice risk prevention for fractures.
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The nurse is performing an assessment of a client's musculoskeletal system. What would the nurse examine first?
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The client's gait
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The client is facing the nurse with his forearm turned so that his palm is up. What movement is the client exhibiting?
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Supination
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The school nurse notes that the client carries her left shoulder higher than her right shoulder. You should recognize the likely presence of what health problem?
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Scoliosis
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When the nurse moves a client's leg upward, the nurse is performing
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supination.
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A female client visits the clinic and tells the nurse that she began menarche at the age of 16 years. The nurse should instruct the client that she is at a higher risk for
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osteoporosis.
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A college age athlete presents to the clinic with pain in the tibiotalar joint. It is a hinge joint limited to flexion and extension. The terms used to describe these movements are what?
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Dorsiflexion and plantar flexion
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What is an appropriate question by the nurse to ask a client about the presence of temporomandibular joint dysfunction?
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"Have you noticed a popping or grating sound when you chew?"
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The scapulohumeral group of muscles contains the rotator cuff.
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true
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Which of the following synovial joints would be an example of a condylar joint?
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Temporomandibular joint
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Risk factors in which of the following areas are most readily changed to reduce the potential risk for falls?
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Environmental
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A nurse is preparing a program on osteoporosis for a local women's group. What would the nurse cite as a risk factor?
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History of smoking
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The nurse has had a client place the backs of both her hands against each other while flexing her wrists 90 degrees with fingers pointed downward and wrists dangling. The presence of pain or tingling during this test suggests what health problem to the nurse?
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Carpal tunnel syndrome
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How would the nurse document normal muscle strength?
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5/5
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The nurse is planning a presentation on osteoporosis to a group of high school students. Which of the following should the nurse plan to include in the presentation?
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Moderate strenuous exercise tends to increase bone density.
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The nurse is preparing to perform a musculoskeletal examination on an adult client. The nurse has explained the examination procedure to the client. The nurse determines that the client needs further instructions when the client says
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"You'll continue with range of motion even if I have discomfort."
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What would the nurse interpret as a positive response to the Phalen test for a client suspected of having carpal tunnel syndrome?
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Numbness
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While assessing the knee joint of a client, a nurse also explains about the typical motions associated with that joint. What would the nurse include?
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Flexion
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Moving a part of the body away from the midline is called?
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Abduction
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A school age client has been diagnosed with genu valgum. What is the other name for this disease?
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Knock kneed
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A client comes to the clinic and reports a sore knee. The nurse notes popping and cracking noises when the client attempts to bend the knee. The client exhibits signs of pain by facial expression. The nurse knows that the popping and cracking noises should be charted as what?
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Crepitus
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A client visits the health care facility with reports of lumbar back pain that radiates down the back. The nurse performs the straight leg test to determine the origin of the pain. Which techniques should the nurse use to perform this test?
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Ask the client to raise the leg to the point of pain and then dorsiflex the foot
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The nurse is performing an assessment of a client's musculoskeletal system. What would the nurse examine first?
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The client's gait
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The nurse is performing the bulge test during the assessment of a client's knee. This test will allow the nurse to make what determination?
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Whether the client's swollen knee is caused by tissue swelling or by fluid accumulation
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The client is complaining that his lower joints are increasingly painful as the day progresses. The nurse suspects the client is experiencing what musculoskeletal disorder?
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Osteoarthritis
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As the nurse assesses the temporomandibular joint (TMJ), an audible click is heard and palpated. What is nurse's best action?
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Ask the client if painful to move jaw side to side.
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Increased lumbar curvature, which compensates for the enlarging uterus in pregnant women, is called what?
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Lordosis
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Which of the following tools would a nurse practitioner be more likely than a registered nurse to use during the performance of a musculoskeletal assessment on a client?
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Goniometer
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The nurse instructs the patient to raise his arm out to the side and overhead. The nurse is asking the patient to adduct his arm.
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False
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The nurse is going to test range of motion in a patient. To test extension of the triceps muscle, the nurse would instruct the patient to
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straighten the elbow
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A client presents to the health care clinic with reports of pain in the hands and right wrist. Additional history reveals that the client is a factory worker who spends all day performing the same repetitive task. The nurse performs Phalen's test and Tinel's test with positive results. The hand grips are unequal, with the right weaker than the left. What nursing diagnosis can the nurse confirm from this data?
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Impaired Physical Mobility
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The nurse is conducting a musculoskeletal assessment of an older adult client. What aspect of the client's medical history requires the nurse to alter the usual sequence or content of this assessment?
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The client had a total hip replacement 2 years ago.
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The school nurse notes that the client carries her left shoulder higher than her right shoulder. You should recognize the likely presence of what health problem?
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Scoliosis
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Skeletal muscles are attached to bones by
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tendons
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An adult client tells the nurse that he eats sardines every day. The nurse should instruct the client that a diet high in purines can contribute to
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gouty arthritis.
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A 70-year-old woman has come to the clinic to follow up her bone density testing. The results suggest that she has osteoporosis. What is a medication that might be ordered for this patient?
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Calcitonin
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When assessing the elbow, a nurse asks a client to hold the arm out and turn the palm down. The nurse is testing which of the following?
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Pronation
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After assessing the client for posture and body alignment, how would the nurse document head position in relation to the spine if alignment is normal with noticeable defect?
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The head is midline and aligned with the spine
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When assessing a client's strength, it is necessary to
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Compare one side to the other
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What finding should a nurse expect when performing Phalen's test on a client with suspected carpal tunnel syndrome?
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Reports of tingling, numbness, and pain in the involved wrist
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A client presents to the health care clinic with reports of onset of neck pain 3 days ago. The nurse recognizes that the most common cause of neck pain is what condition?
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Cervical strain
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When the client performs straight leg flexion, the client complains of pain that radiates down his leg. The nurse understands that this may indicate what?
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Herniated disc
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The subacromial bursae are contained in the
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shoulder joint.
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A client visits the clinic and tells the nurse that she has joint pain in her hands, especially in the morning. The nurse should assess the client further for signs and symptoms of
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arthritis.
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While assessing the elbow of an adult client, the client complains of pain and swelling. The nurse should further assess the client for
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arthritis.
